Provider Demographics
NPI:1932748530
Name:BALSAMO, FRANCIS X (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:X
Last Name:BALSAMO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2422 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-9206
Mailing Address - Country:US
Mailing Address - Phone:717-766-7689
Mailing Address - Fax:
Practice Address - Street 1:SCI- CAMP HILL- DENTAL DEPT
Practice Address - Street 2:2500 LISBURN RD
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1705
Practice Address - Country:US
Practice Address - Phone:717-766-7689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO36646122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist